Gouty arthritis: A prospective radiographic evaluation of sixty patients
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A prospective analysis of 60 patients with gout was undertaken to evaluate the radiographic spectrum of gouty arthritis in patients treated in the era of hypouricemic therapy. Twenty-two of these patients were clinically tophaceous; 36 were considered to have radiographic findings diagnostic of gouty arthritis by strict radiographic criteria. Up to 24% of the patients denied symptoms in joints with radiographic changes of gout; 42% with no evidence of tophi on clinical examination had radiographic changes characteristic of gout. Radiographic assessment can be extremely helpful in the management of gout by documenting the degree and extent of bony involvement, particularly in patients with limited symptoms or without clinical tophi.
Key wordsArthritis Gouty arthritis Gout
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- 1.O'Duffy JD, Hunder GG, Kelly PF (1975) Decreasing prevalence of tophaceous gout. Mayo Clin Proc 50:227Google Scholar
- 2.Resnick D (1977) The radiographic manifestations of gouty arthritis. CRC Crit Rev Diagn Imaging 9:265Google Scholar
- 3.Rosenberg EF, Arens RA (1947) Gout: Clinical pathologic and roentgenographic observations. Radiology 49:169Google Scholar
- 4.Wallace SL, Robinsin H, Masi AT, Decker JL, McCarty DJ, Yu TF (1977) Preliminary criteria for the classification of the acute arthritis of primary gout. Arthritis Rheum 29:895Google Scholar
- 5.Watt I, Middlemiss H (1975) The radiology of gout — review article. Clin Radiol 26:27Google Scholar
- 6.Wyngaarden JB, Kelley WN (1976) Gout and hyperuricemia. Grune and Stratton, New YorkGoogle Scholar
- 7.Yu TF (1974) Milestones in the treatment of gout. Am J Med 53:676Google Scholar